OLUSEGUN OBAFEMI OWOTOMO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178414

License Status

ACTIVE

Business

Title

First Name

OLUSEGUN

Middle

OBAFEMI

Last Name

OWOTOMO

Business Name

OLUSEGUN OBAFEMI OWOTOMO MD

Original Issue Date

01/02/2026

Effective Date

01/02/2026

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

01/02/2026